治鼻塞。
甘菊 防风 前胡(各五钱) 细辛 桂心(各二钱五分)
甘草(一钱五分) 为末,临卧荆芥汤下。
治鼻渊浊涕。
黄芩 甘草(炙) 人参 川芎 麦冬(去心,各五钱) 防风(二钱五分) 为末,
百沸汤,每服一钱。
治衄血不止。
阿胶(蛤粉炒) 茜根 黄芩(各一两) 生地 侧柏叶(各一两) 甘草(炙,五钱)
水煎服。
一方
治鼻衄,用山茶花为末,童便姜汁酒调下。有加郁金者。又方,用大蒜捣泥,随左
右贴足心。又法,左鼻衄,以线扎左手中指,右如之,两鼻者,双手俱扎。
治 肉。
轻粉(一钱) 雌黄(五钱) 杏仁(一钱,去皮尖) 麝香(少许) 先将杏仁捣
成泥,余药研细匀,收瓷合盖定,夜卧点米粒许于鼻中,夜一次。
瓜蒂(炒) 甘遂(各四钱) 白矾(枯) 螺青(炒) 草乌尖(各五分,炒) 为
末,用真麻油搜和丸,如鼻孔大,将药纳鼻,达痔肉上,其肉化为水,一日一次。
一方
治鼻下一道赤者,名曰 。以黄连末敷之。
唇本脾之外候,然足阳明之脉,亦起于鼻,而环于唇,故凡停滞伤脾,必气粗唇坚
而发肿,名曰唇肿。至有伤寒,或发惊候,是以眉棱骨痛,厥热眩闷,气秽颐浮,或舌
苔,或齿击,或狂逆,则又色白肿甚,名曰茧唇。至若胃伤极而唇糜,壮热秽甚见痘
者,名曰胃烂唇枭,十救一二。如忧愁劳极,满唇破裂者,亦名口糜。如风寒乍乘,
唇青带白者,宜温胃驱风。如吐后而唇白者,治宜养胃调气。如怒气上冲,唇青者,
治宜顺气,平肝和胃。更有唇口蠕动者,脾虚不能收摄也。误治为痰,则津液愈枯,筋
脉失养,抽搐诸候来矣。
口疮者,心脾蕴热也。小儿阴气未生,阳热偏盛,又因将养过温,心脾积热,熏蒸
于上而成疮,治宜泻心化毒,清凉为主。若月内诸病,而口无涎沫者,凶。
治疗鼻塞。
甘菊、防风、前胡(各五钱),细辛、桂心(各二钱五分),甘草(一钱五分)。研为细末,临睡前用荆芥汤送服。
治疗鼻渊导致的浊涕。
黄芩、炙甘草、人参、川芎、麦冬(去心,各五钱),防风(二钱五分)。研为细末,用刚沸腾的开水冲服,每次服用一钱。
治疗鼻出血不止。
阿胶(用蛤粉炒制)、茜草根、黄芩(各一两),生地黄、侧柏叶(各一两),炙甘草(五钱)。加水煎煮后服用。
另一方法:
治疗鼻衄,将山茶花研为细末,用童便、姜汁和酒调匀后服用。也有加入郁金的方子。又一方,将大蒜捣成泥状,根据出血部位贴在对应的足心(左鼻出血贴左脚心,右鼻出血贴右脚心)。还有一种方法,左侧鼻出血,用线扎住左手的中指;右侧鼻出血则扎右手的中指;双侧鼻出血,则双手的手指都扎住。
治疗鼻息肉(原文“治 肉”,结合上下文及常用方剂推测为鼻息肉或类似赘生物,此处依字面翻译为“治疗鼻中赘肉”)。
轻粉(一钱),雌黄(五钱),杏仁(一钱,去皮尖),麝香(少许)。先将杏仁捣成泥状,其余药物研成细粉并混合均匀,装入瓷盒盖紧。每晚睡前取米粒大小的药量点入鼻中,每晚一次。
另一方:
黄柏、苦参、槟榔(各等分)。研为细末,用猪油调和后涂抹。
再一方:
瓜蒂(炒制)、甘遂(各四钱),白矾(枯矾)、螺青(炒制)、草乌尖(各五分,炒制)。研为细末,用纯正的麻油调和制成丸药。如果鼻孔较大,将药纳入鼻中,直达息肉上,可使息肉化为水液,每日一次。
另一方:
治疗鼻子下方有一道红痕的,称为“赤印”(原文缺字,据语境补义,或指特定病名,此处保留原意描述症状)。用黄连末外敷。
嘴唇本是脾脏的外在征候,然而足阳明胃经的经脉,也起于鼻旁,环绕嘴唇。所以凡是导致脾胃停滞受损的情况,必然出现呼吸粗重、嘴唇坚实且肿胀的症状,称为“唇肿”。至于有伤寒病,或者出现惊风症状时,会导致眉棱骨疼痛,四肢厥冷与发热交替、头晕胸闷,口气秽臭、下巴浮肿,或者舌苔异常,或者牙齿咬合作响,或者发狂逆乱,这时嘴唇颜色发白且肿胀严重,称为“茧唇”。如果胃气损伤极度严重而导致嘴唇糜烂,伴有高热、秽气极重并见痘疹者,称为“胃烂唇枭”,十个人中只能救活一两个。如果是忧愁劳倦过度,导致满口嘴唇破裂的,也称为“口糜”。如果是风寒突然侵袭,嘴唇发青带白的,适宜温胃驱风。如果是呕吐之后嘴唇发白的,治疗宜养胃调气。如果是怒气上冲,导致嘴唇发青的,治疗宜顺气、平肝和胃。更有嘴唇和口角蠕动的情况,这是脾虚不能收摄津液所致。如果误治将其当作痰证处理,那么津液会更加枯竭,筋脉失去滋养,抽搐等症状就会随之而来。
口疮,是心脾蕴积热毒所致。小儿阴气尚未生成,阳热偏盛,再加上养育过程中保暖过度,导致心脾积热,熏蒸于上部而形成疮疡,治疗宜清泻心火、化解毒邪,以清凉为主。如果在出生一个月内患各种疾病,而口中没有涎沫的,预后凶险。
Treatment for nasal congestion.
Chrysanthemi Flos (Ganju), Saposhnikoviae Radix (Fangfeng), Peucedani Radix (Qianhu) (each 5 qian); Asari Radix et Rhizoma (Xixin), Cinnamomi Cortex (Guixin) (each 2.5 qian); Glycyrrhizae Radix et Rhizoma (Gancao) (1.5 qian). Grind into fine powder. Take with Schizonepetae Decoction (Jingjie Tang) before bedtime.
Treatment for turbid discharge from the nose due to Bi Yuan (Nasal Sinusitis).
Scutellariae Radix (Huangqin), roasted Glycyrrhizae Radix et Rhizoma (Zhi Gancao), Ginseng Radix (Renshen), Chuanxiong Rhizoma (Chuanxiong), Ophiopogonis Tuber (Maidong, heart removed) (each 5 qian); Saposhnikoviae Radix (Fangfeng) (2.5 qian). Grind into fine powder. Take 1 qian each time, mixed with boiling water.
Treatment for persistent epistaxis (nosebleed).
Colla Corii Asini (Ejiao, stir-fried with Arsenici Albi Pulvis/Hagefen), Rubiae Radix et Rhizoma (Qigen), Scutellariae Radix (Huangqin) (each 1 liang); Rehmanniae Radix Recens (Shengdi), Platycladi Cacumen (Cebaiye) (each 1 liang); roasted Glycyrrhizae Radix et Rhizoma (Zhi Gancao) (5 qian). Decoct in water and take orally.
Another prescription:
For epistaxis, grind Camellia flower into powder, mix with child's urine (Tongbian), ginger juice, and wine, then take orally. Some prescriptions add Curcumae Radix (Yujin). Another method: mash garlic into a paste and apply it to the sole of the foot corresponding to the side of the bleeding (left nostril to left sole, right nostril to right sole). Another method: tie a thread around the middle finger of the left hand for left-sided epistaxis, or the right hand for right-sided epistaxis; if both sides are affected, tie fingers on both hands.
Treatment for nasal polyps (referred to as "flesh" in text).
Calomelas (Qingfen) (1 qian); Realgar (Ci Huang) (5 qian); Armeniacae Semen Amarum (Xingren, skin and tip removed) (1 qian); Moschus (Shexiang) (a small amount). First, pound Xingren into a paste. Grind the remaining herbs into fine powder and mix evenly. Store in a porcelain jar with a tight lid. Before sleep, place a grain-sized amount of the powder into the nostril, once nightly.
Another prescription:
Phellodendri Cortex (Huangbai), Sophorae Flavescentis Radix (Kushen), Arecae Semen (Binglang) (equal parts). Grind into powder, mix with lard (Zhuzhi), and apply topically.
Yet another prescription:
Melonis Fructus Seed (Gua Di, fried), Kansui Radix (Gansui) (each 4 qian); Alum (Baifan, calcined), Indigo Naturalis (Luo Qing, fried); Aconiti Lateralis Radix Preparata (Caowu Jian, fried) (each 5 fen). Grind into powder, knead with pure sesame oil (Zhen Mayou) to form pills. If the nostril is large, insert the medicine into the nose until it reaches the polyp tissue, which will dissolve into fluid. Use once daily.
Another prescription:
For a red streak under the nose, named [missing character, likely referring to a specific dermatological condition], apply Powder of Coptidis Rhizoma (Huanglian) externally.
The lips are the external manifestation of the Spleen. However, the Foot-Yangming Stomach Meridian originates near the nose and circles the lips. Therefore, any stagnation injuring the Spleen will inevitably result in coarse breathing, firmness, and swelling of the lips, termed "Lip Swelling." In cases of Shang Han (Cold Damage) or convulsive disorders, pain in the supraorbital ridge may occur, accompanied by alternating cold and heat, dizziness, and chest oppression. With foul breath, swollen chin, abnormal tongue coating, teeth grinding, or manic behavior, the lips may become very white and swollen, termed "Silkworm Cocoon Lip." If stomach injury is extreme leading to lip ulceration, accompanied by high fever, severe foul odor, and visible pox, it is termed "Stomach Rot Lip Owl," with only one or two out of ten recoveries. If chronic worry and exhaustion cause cracking of the entire lip, it is also called "Oral Ulceration" (Kou Mi). If wind-cold suddenly invades causing blue-tinged white lips, warming the stomach and expelling wind is appropriate. If lips turn white after vomiting, nourishing the stomach and regulating qi is indicated. If anger rises causing blue lips, soothing qi, calming the liver, and harmonizing the stomach is required. Furthermore, twitching of the lips and mouth indicates Spleen deficiency failing to control retention. Misdiagnosing this as phlegm will further deplete body fluids, deprive sinews and vessels of nourishment, and lead to convulsions.
Mouth sores are caused by heat accumulation in the Heart and Spleen. Infants have undeveloped Yin and excessive Yang-heat. If over-warmed during care, heat accumulates in the Heart and Spleen, steaming upward to form sores. Treatment should focus on clearing Heart fire and resolving toxicity, primarily using cooling methods. If an infant under one month old suffers from various diseases but has no saliva in the mouth, the prognosis is ominous.